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Related Experiment Videos

Transitional care for seriously mentally ill persons: a pilot study.

Linda E Rose¹, Linda Gerson, Cynthia Carbo

¹Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA. lrose2@son.jhmi.edu

Archives of Psychiatric Nursing

|November 27, 2007

Summary

This summary is machine-generated.

A pilot study found that an in-home transitional care program led by nurses is feasible for seriously mentally ill individuals. This intervention addresses continuity of care gaps and post-discharge needs for improved community adjustment.

Related Experiment Videos

Area of Science:

Nursing
Psychiatry
Public Health

Background:

Existing programs often lack continuity of care for seriously mentally ill (SMI) individuals post-discharge.
Severely mentally ill patients face challenges in engaging with community-based care protocols.
The complexity of SMI necessitates tailored post-discharge support.

Observation:

This pilot study evaluated a nurse-led in-home transitional care intervention for SMI patients.
The study assessed the applicability and feasibility of the intervention in a community setting.
Key factors influencing post-discharge community adjustment were identified.

Findings:

Caregiver concerns and health status significantly impact illness management.
Lack of daily structure and involvement hinders community adjustment.
Structural/functional factors and persistent symptoms affect treatment adherence.
The intervention demonstrated feasibility in engaging SMI patients.

Implications:

Advanced practice nurses can provide effective transitional care, improving outcomes for SMI patients.
This model addresses critical gaps in community mental healthcare.
Findings highlight the need for comprehensive support addressing patient and caregiver factors.